| I & R Medical Services Pc | |
|
11241 Queens Blvd Suite Llb Forest Hills NY 11375-7475 | |
| (718) 520-7723 | |
| (718) 520-7733 |
| Full Name | I & R Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11241 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Roza Israel (PARTNER) |
| Authorized Official Contact | 7187437090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I & R Medical Services Pc 9925 65th Rd Rego Park NY 11374-3654 Ph: (718) 473-7090 | I & R Medical Services Pc 11241 Queens Blvd Suite Llb Forest Hills NY 11375-7475 Ph: (718) 520-7723 |
| NPI Number | 1063458560 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 9436109931 |
|---|---|
| Medicare Enrollment ID | O20050523001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063458560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221146 (New York) | Primary |
| 208D00000X | General Practice | 214292 (New York) | Secondary |
| Provider Name | Roza Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068368 PECOS PAC ID: 8426008921 Enrollment ID: I20050122000167 |
| Provider Name | Igor Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851391692 PECOS PAC ID: 8325098825 Enrollment ID: I20050122000176 |
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